I’ve seen some interesting theories that despite Thanos’ stated motivations, Hela could return and take the role of Lady Death. From the trailer for Endgame I think it’s unlikely, though.
EDIT: Also,
Ultimately, Thanos is a zealot. He believes that his “method” is not only universally effective, but universally needed. But I don’t think he overlooks the collateral damage- I think he counts on it. With the snap, he leaves a mark on the universe that (he thinks) will last forever. But precisely because the effects of his actions linger, the (awful, absurd, shortsighted) justifications of those actions linger as well. I think he knows this, and he realizes that some (equally misguided) future ruler will inevitably be the “next Thanos.” By causing such immense destruction, he’s insured that his (twisted) ideals will last forever. And in a universe where rock collecting can make you a god, it’s not unreasonable that another individual in another time could “continure his work.”
Yes, his plan is ridiculous. His justifications are awful. And he’s insane. But he’s found a pretty good way to make sure that his awful, ridiculous, insane ideals are carried out.